Entity Name: | WESLEY COUNSELING, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 15 Aug 2023 (2 years ago) |
Document Number: | L23000383959 |
FEI/EIN Number | 93-2941139 |
Address: | 208 APOLLO BEACH BLVD, SUITE 107, APOLLO BEACH, FL 33572 |
Mail Address: | 12201 CITRUS LEAF DR, GIBSONTON, FL 33534 |
ZIP code: | 33572 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1164206363 | 2023-08-21 | 2024-06-24 | 208 APOLLO BEACH BLVD # 107, APOLLO BEACH, FL, 335722250, US | 208 APOLLO BEACH BLVD STE 107, APOLLO BEACH, FL, 335722250, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 813-439-7676 |
Authorized person
Name | DAWN M WESLEY |
Role | OWNER/MANAGER/THERAPIST |
Phone | 8134397676 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | No |
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | Yes |
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
Is Primary | No |
Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
Is Primary | No |
Taxonomy Code | 3245S0500X - Children's Substance Abuse Rehabilitation Facility |
Is Primary | No |
Name | Role | Address |
---|---|---|
WESLEY, DAWN M | Agent | 12201 CITRUS LEAF DR, GIBSONTON, FL 33534 |
Name | Role | Address |
---|---|---|
WESLEY, DAWN M | Manager | 12201 CITRUS LEAF DR, GIBSTONTON, FL 33534 |
WESLEY, MARTIN C | Manager | 12201 CITRUS LEAF DR, GIBSONTON, FL 33534 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-06 |
Florida Limited Liability | 2023-08-15 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State